When asked in 2015 to serve as Chief Financial Officer of a struggling faith-based retirement community, Jeremy LaKosh understood the financial challenges that laid ahead. However, he did not anticipate the threats of personal liability from federal regulators or a Medicaid system that was openly violating federal law at the expense of the facility’s residents.With financial crisis exacerbated by the state’s delayed Medicaid payments and a self-serving lender undermining resident care, management navigates the pressures of large external stakeholders along with the day-to-day operational challenges of a skilled care facility to maintain a high quality of care. On multiple occasions, the skilled care facility comes within a few hours of announcing closure.In addition to his personal story, LaKosh reveals research that points to significant deficiencies in HUD’s mortgage insurance program and how the consequences of those deficiencies could cost the U.S. taxpayers billions of dollars. After examining the ins and outs of this system, A Government’s Guide to Exploiting the Elderly proposes basic reforms that legislatures can act upon, and the public can demand, to make elder care better.LaKosh holds a bachelor’s degree in history/political science and a master’s degree in business administration. He has served in various management roles involving finance for the past eleven years. A native of northeast Ohio, LaKosh currently serves as the Chief Executive Officer of an independent living retirement community in central Illinois.
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